Abstract
Purpose
The objective of this article is to report the case of an edentulous patient with a diagnosis of bilateral condylar fracture, who was treated using virtual planning.
Methods
CAD/CAM technology was used for the design and manufacture of a Gunning splint, which was employed for open reduction of the right fracture and closed management of the left side.
Results
The reduction of the right condylar fracture projected in the planning was achieved, as well as the return of the vertical dimension and the restoration of function, after 28 months of observation.
Conclusion
In the case of total edentulism, the lack of occlusal guidance and bone atrophy are important variables to consider; however, tools such as CAD/CAM technology can be used to take more predictable treatment decisions and facilitate the execution of the procedures.
References
Laskin DM (2009) Management of condylar process fractures. Oral Maxillofac Surg Clin North Am 21:193–196
Ellis E 3rd, Price C (2008) Treatment protocol for fractures of the atrophic mandible. J Oral Maxillofac Surg 66:421–435
Fraser-Moodie WM (1969) Gunning and his splint. Br J Oral Surg 7:112–115
Wolfe SA, Lovaas M, McCafferty LR (1989) Use of a miniplate to provide intermaxillary fixation in the edentulous patient. J Craniomaxillofac Surg 17:31–33
Hua J, Aziz S, Shum JW (2019) Virtual surgical planning in oral and maxillofacial surgery. Oral Maxillofac Surg Clin North Am 31:519–530
Kisnisci R (2013) Management of fractures of the condyle, condylar neck, and coronoid process. Oral Maxillofac Surg Clin North Am 25:573–590
Dharaskar S, Athavale S, Kakade D (2014) Use of gunning splint for the treatment of edentulous mandibular fracture: a case report. J Indian Prosthodont Soc 14:415–418
Chaudhary Z, Sharma R, Krishnan S (2014) Maxillo mandibular fixation in edentulous scenarios: combined MMF screws and gunning splints. J Maxillofac Oral Surg 13:213–214
Wang HD, Frost C, Cusano A, Dorafshar AH (2018) Management of bilateral edentulous mandible fractures through an intraoral approach using CAD/CAM technology: a case report. J Oral Maxillofac Surg 76:1056.e1–1056.e6
Hwang K, Ma SH (2021) Use of a monoblock gunning splint in a bilateral condylar fracture in an edentulous patient. J Craniofac Surg 32:e235–e238
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest. No financial support was received by any of the authors of this article.
Ethical Approval
Approved by institutional Ethics Committee.
Informed Consent
Obtained.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Duran-Rodriguez, G., Gómez-Delgado, A. & López, J.P. Management of Bilateral Condylar Fractures in an Edentulous Patient with Atrophic Mandible Using CADCAM Technology. J. Maxillofac. Oral Surg. 21, 124–128 (2022). https://doi.org/10.1007/s12663-021-01652-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-021-01652-8